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下颌切牙根管的牙科锥形束计算机断层扫描的准确性验证及其形态和与衰老相关变化的评估。

Accuracy verification of dental cone-beam computed tomography of mandibular incisor root canals and assessment of its morphology and aging-related changes.

作者信息

Aoki Katsuyuki, Serikawa Masamitsu, Harada Takuya, Usami Akinobu

机构信息

Department of Morphological Biology, Ohu University School of Dentistry, Fukushima, Japan.

Department of Oral Radiology and Diagnosis, Ohu University School of Dentistry, Fukushima, Japan.

出版信息

Anat Cell Biol. 2023 Jun 30;56(2):185-190. doi: 10.5115/acb.22.247. Epub 2023 Feb 10.

Abstract

The root canal morphology undergoes aging-related changes, and relevant quantitative analyses have not yet been reported. We compared the cone beam computed tomography (CBCT) and micro-computed tomography (micro-CT) scans of extracted mandibular incisors to check the accuracy of morphological measurements. Thereafter, the root canal morphology and aging-related changes in the mandibular incisors of Japanese individuals were assessed using CBCT. Six extracted teeth were fixed in a phantom head and imaged using CBCT and micro-CT. The correlation between the findings of the two imaging modalities was examined. Further, CBCT reconstructed images of the mandibular incisors of 81 individuals were observed. Age-related changes of the root canals were compared between participants aged <30 years and those aged ≥30 years. The CBCT and micro-CT findings regarding the root canals of the extracted teeth coincided in 94.4% of the cases. Mandibular incisors exhibiting two root canals in either cross-section accounted for 9.9% of central incisors and 12.4% of lateral incisors. Mandibular central incisors with two root canals were observed in two (6.3%) individuals aged <30 years and six (12.2%) aged ≥30 years. Mandibular lateral incisors with two root canals were observed in one (3.1%) individual aged <30 years and nine (18.4%) aged ≥30 years. CBCT allows accurate evaluation of complex root canal morphologies and is useful for endodontic preoperative assessment. Mandibular incisors have more frequent occurrence of two root canals with aging.

摘要

根管形态会发生与年龄相关的变化,而相关的定量分析尚未见报道。我们比较了拔除的下颌切牙的锥形束计算机断层扫描(CBCT)和微型计算机断层扫描(micro-CT)图像,以检查形态测量的准确性。此后,使用CBCT评估了日本人群下颌切牙的根管形态及与年龄相关的变化。将6颗拔除的牙齿固定在仿头模型中,并用CBCT和micro-CT进行成像。检查了两种成像方式结果之间的相关性。此外,观察了81名个体下颌切牙的CBCT重建图像。比较了年龄<30岁和≥30岁参与者之间根管的年龄相关变化。在94.4%的病例中,CBCT和micro-CT关于拔除牙齿根管的检查结果一致。在横断面显示有两个根管的下颌切牙中,中切牙占9.9%,侧切牙占12.4%。在年龄<30岁的个体中有2例(6.3%)观察到有两个根管的下颌中切牙,在年龄≥30岁的个体中有6例(12.2%)。在年龄<30岁的个体中有1例(3.1%)观察到有两个根管的下颌侧切牙,在年龄≥30岁的个体中有9例(18.4%)。CBCT能够准确评估复杂的根管形态,对牙髓病术前评估很有用。随着年龄增长,下颌切牙出现两个根管的情况更常见。

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